ATXN7 Repeat Expansion Testing

Description

Pathogenic CAG repeat expansions in the ATXN7 gene have been associated with autosomal dominant spinocerebellar ataxia 7 (SCA7). The pathogenic repeat expansions lead to expanded polyglutamine tracts that form nuclear aggregates and alter the normal function of ataxin-7 protein.

Pathogenicity is dependent upon CAG repeat length according to the following ranges 1-2:

Normal Alleles

Mutable Normal Alleles

Intermediate or Uncertain Alleles

Reduced Penetrance Alleles

Full Penetrance Alleles

27 or fewer

28-33*

-

34-36

37 or more**

*Mutable normal alleles can expand to the pathogenic range in one generation, especially if paternally inherited.

**Repeats longer than 100 are typically associated with childhood onset. Repeats longer than 200 are associated with infantile onset.